| Entity Name: | PEDIATRIC DENTAL ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jan 2008 (17 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Jun 2008 (17 years ago) |
| Document Number: | L08000008171 |
| FEI/EIN Number | 261802715 |
| Address: | 4416 W AZEELE ST, TAMPA, FL, 33609, US |
| Mail Address: | PO BOX 2080, Palm Harbor, FL, 34682-2080, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205099769 | 2008-07-05 | 2008-07-05 | 3408 STATE ROAD 13, SAINT JOHNS, FL, 322599270, US | 3408 STATE ROAD 13, SAINT JOHNS, FL, 322599270, US | |||||||||||||||||||
|
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| Phone | +1 904-230-3188 |
| Fax | 9042303189 |
Authorized person
| Name | DR. DENNIS R. STONE |
| Role | PRESIDENT |
| Phone | 9042303188 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | L08000008171 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Messina Michael C | Agent | 202 S Rome Ave, Tampa, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| Vila Hector Jr. | Managing Member | 4416 W Azeele St, Tampa, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-08 | Messina, Michael C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-08 | 202 S Rome Ave, Suite 150, Tampa, FL 33606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-14 | 4416 W AZEELE ST, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-17 | 4416 W AZEELE ST, TAMPA, FL 33609 | No data |
| LC AMENDMENT | 2008-06-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
